Organization Active NPI

Houston Cardiac Clinic P.a.

  • Cardiovascular Disease Physician
  • Houston, TX
National Provider Identifier
1760423263
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
HOUSTON CARDIAC CLINIC P.A.
Practice address
925 Gessner Rd
Suite 525
Houston, TX 77024-2545
Phone
(713) 827-7680
Fax
(713) 827-0210
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anthony GunawanNPI 1386671386
Title
M.D
Phone
(713) 827-7680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

925 Gessner Rd
Suite 525
Houston, TX 77024-2545

Mailing address

9337B Katy Fwy # 302
Houston, TX 77024-1515
Phone (713) 827-7680

Other identifiers 1

IdentifierTypeStateIssuer
081719901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070829000175 TX Part B Supplier - Clinic/Group Practice 7517059009 Receives reassigned benefits from 4 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

925 Gessner Rd
Ste 525
Houston, TX 77024
Phone (713) 827-7680

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1760423263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9337B KATY FWY # 302",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241515",
            "telephone_number": "713-827-7680",
            "fax_number": "713-827-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 GESSNER RD",
            "address_2": "SUITE 525",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242545",
            "telephone_number": "713-827-7680",
            "fax_number": "713-827-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON CARDIAC CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "GUNAWAN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "713-827-7680"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081719901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.